09-13, 08:30–09:00 (Europe/Istanbul), Equilibirium 3
Globally, it was reported that there were 424 million fatal falls, making it the 2nd leading cause of unintentional injury death(WHO, 2019). At least a fall per year was noted in 25% of US adults age 65 and above(CDC, 2014). The EU recorded 33% of adults age 65% and above while 50% of adults age 80+ had the same experience.(ProFouND, 2015). An older adult falls every second of every day according to STEAD. Falls lead to high costs across healthcare services, amounting to over $50 billion in the US and €25 billion in the EU.The gold standard for testing balance function is computerized dynamic posturography(CDP). Unfortunately, the system we are using ceased production in 2019 when it was acquired by another company and servicing will end by 2029. An upgrade of the equipment integrating virtual reality in now in the market but the cost is prohibitive for most medical instituitions. Hence, we opted to purchase a static posturography system.Reverting back to the clinical test of sensory interaction on balance (CTSIB) and SP is considered in the assessment of balance among the elderly since it is more affordable and accessible. 65 year old patients and above will undergo CTSIB & SP, the results of which will be compared to CDP. To make CTSIB more objective, the sway can be recorded by laser beams mounted on the forehead of the patient directed to a measuring rod on a wall. Tester of each procedure will be blinded as to the results of each other. Sensitivity and Specificity will be determined and Cohen's Kappa and McNemar's test will be used to analyze the data.
Outcome of the study will guide the physician in requesting the appropriate balance function test. Results of the tests will aid in fall risk assessment among elderly patients who can be cautioned and counselled accordingly.
Outcome of the study will guide the physician in requesting the appropriate balance function test. Results of the tests will aid in fall risk assessment among elderly patients who can be cautioned and counselled accordingly.
Professor Norberto Martinez, MD earned his Doctor of Medicine in 1982 at the University of Santo Tomas, Faculty of Medicine and Surgery where he likewise completed his residency training in Otorhinolaryngology – Head and Neck Surgery. The first graduate of the Department, he pursued further studies as Fellow in Neuro-Otology at a WHO Collaborating Center for Prevention of Deafness - The Siriraj University, Bangkok Thailand and Zurich University Hospital, Switzerland. With an ardent desire to free Filipinos from the bondage of silence, he joined the Faculty of Medicine and Surgery where he pioneered the science and clinical practice of hearing and balance function by establishing the first hospital-based Center earning the IFOS – ISA – HI Accreditation in the country. With its establishment, he selflessly shared his knowledge by leading various post-graduate courses for Physicians, and other stakeholders in the aural rehabilitation of deaf individuals and those suffering from balance disorders.
Later on, he partnered with Macquarie University in developing the curriculum for Master of Clinical Audiology which, to date, graduated leaders and professionals that form the building blocks of the nation’s ear and hearing health program. For his contributions and excellence in both teaching and research, he was appointed to various administrative posts including Chairman of the Department of ENT – HNS, and Faculty Council of the Faculty of Medicine and Surgery. The only Professor of the Department, he continues to lead the innovation in teaching to ensure that Filipinos live with healthy ear and hearing, free from disabilities.